| Kristin Jo Davis Lesh, RD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 501-3601 | |
| (360) 501-3648 |
| Full Name | Kristin Jo Davis Lesh |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720371354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1042 (Oregon) | Secondary |
| 133V00000X | Dietitian, Registered | DI60209738 (Washington) | Primary |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Provider Name | Apple Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184 |
| Provider Name | Peacehealth |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Jo Davis Lesh, RD 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324 Ph: (360) 729-1462 | Kristin Jo Davis Lesh, RD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3601 |
Patricia S Goodman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1057 12th Ave, Longview, WA 98632 Phone: 360-423-7740 Fax: 360-423-7894 | |
Robin Hammon, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 783 Commerce Ave, Longview, WA 98632 Phone: 360-577-2630 | |
Kaydee Mae Harris, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Monticello Dr, Longview, WA 98632 Phone: 360-560-9760 | |
Margaret D Norman, BS, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-636-4943 Fax: 360-414-7674 | |
Alicia D Susilla, BS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2200 Fax: 360-414-2210 | |
Emily Greenough, Dietitian Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Erika Jeanne Zeff, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-501-3648 |